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Revista Colombiana de Reumatología
Print version ISSN 0121-8123
Abstract
RAMIREZ-HUARANGA, Marco Aurelio et al. Rheumatoid arthritis; a systemic disease with an under-estimated cardiovascular risk. Rev.Colomb.Reumatol. [online]. 2018, vol.25, n.2, pp.92-98. ISSN 0121-8123. https://doi.org/10.1016/j.rcreu.2018.02.005.
Objective:
To determine the cardiovascular risk and the prevalence of cardiovascular risk (CVR) factors in patients with rheumatoid arthritis.
Material and methods:
Observational, descriptive and cross-sectional study performed in the General Hospital of Ciudad Real from June 2013 to May 2014. A complete laboratory analysis was performed, a clinical profile was prepared, the Systematic COronary Risk Evaluation (SCOREm) was calculated, and the CVR was stratified. Finally, the presence of sub-clinical atherosclerosis was determined by performing a carotid ultrasound.
Results:
119 patients accepted to participate in the study. There was a prevalence of 73.1% of traditional risk factors; 6.72% having had a cardiovascular event at the time of the study, and 22.68% had an underdiagnosis of diabetes mellitus and/or nephropathy. The final distribution of the CVR was: Low risk 46 (38.7%), intermediate risk 33 (27.7%), high risk 2 (1.7%), very high risk 38 (31.9%).
Conclusions:
There is a high prevalence of CVR factors and an elevated risk of underdiagnosis in the rheumatoid arthritis population. Therefore, although rheumatoid arthritis manifests itself more in the joints, it should be considered a systemic disease associated with a higher incidence of cardiovascular events.
Keywords : Rheumatoid arthritis; Chronic inflammation; Cardiovascular risk; Sub-clinical atherosclerosis; SCOREm; Carotid ultrasound.